HomeMy WebLinkAbout2841 oeciaration ot oorn~cii• and Citls•nsh~p 145939
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TO THE STATE AND GOUNTY TAX ASSESS~R,
ST. IUCIE COUNTY, FLORIDA:
This is my declarotion of Oomicile a~d ~tiun:hip in ths State of Flo~ida that 1 am filinq this day in accordana and
in aonformity with Ghapte~ 222, Ssction 22Z.17, Florids Statutes.
I was formerly a leqal resident of R~hester New Ynr~
(City) (Stste)
and 1 rosided at _ a74 ~Qitt A~e~UC Howevsr I have cfisn~d my domidle
(Street and Number)
ro and am and hsve been a bons fide ~esident of the State of Florida since 8 day of
June 66 3613 Orange Avenue
, 19 and I resids at
(StreN ar~d Numbsr)
FORT lI~CE, SAINT WCIE COUNTY, RORIDA
and this statement i: to be taken as my dederatian of citizanship, actual le~al residence and ~micile in the Staro of Flortda.
(Insen here any pe~tinent facts, such as sale of property or buainess, or relinquishmant of employment
at former domicite, removaf of family to new domicile, pu~chase of home, etc.)
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I FURTHER CERTIFY that I will aomply with all othef rsquiremenri of a Isyal resident of this State.
1 FURTHER CERTIFY thst I have no intention to retum to my former domicjle, and I intend to remain in FORT
; PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
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~ ~i°.,~:,.~:~:.~~.,. Frank H. ~erace
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` ''"S~Mrot~~'~ters.nd~U~uibed before ms this day of Juae ,~q 66 ,
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ROGER ~OITRAS
CIR IT COU Notary Public
By D.C. My Commiu"wn expires
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R~ b~ ax~culid in duplicaf~ and ori~nal Al~d v~iN~ Cl~rk Grwif Cou~f, and dupliu/~ wi~h Tax A~aer.)
a~K 147 439 ~
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